| NPI Details | |
|---|---|
| NPI | 1013249978 |
| Enumeration Date | 02/03/2010 |
| Last Updated | 02/03/2010 |
| Entity Type | Healthcare Provider |
| Active | Over 8 years ago |
| Authorized Information | |
|---|---|
| Name | KIKWANG KIKWANG |
| Position | OWNER |
| Phone | (770) 418-2340 |
| Fax | (770) 418-9011 |
| Practice Location | |
|---|---|
| 10900 MEDLOCK BRIDGE RD STE #202 JOHNS CREEK GA, 30097, US |
|
| Phone | (770) 418-2340 |
| Fax | (770) 418-9011 |
| Business Location | |
|---|---|
| 10900 MEDLOCK BRIDGE RD STE #202 JOHNS CREEK GA, 30097, US |
|
| Phone | (770) 418-2340 |
| Fax | (770) 418-9011 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111N00000X |
| License State | Georgia |
| License Number | CHIR008082 |
| Remove 1013249978 NPI Number | |
According to our database, Bon Health Clinic L.l.c. NPI is 1013249978, taxonomy code is 111N00000X and license number is CHIR008082, license state is located at Georgia. Bon Health Clinic L.l.c. physically located at 10900 Medlock Bridge Rd, Johns Creek GA, 30097. NPI Number 1033115704 has the healthcare provider type.
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1013249978 NPI number is provided on an as is basis without warranty of any kind. 1013249978 is maintained by the National Plan & Provider Enumeration System. The contents of Bon Health Clinic L.l.c. are for informational purposes only.
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